Evidence map›Paper›PMID 29916123›Full record

Observational studyInternational ophthalmology2019

Effectiveness of sampling methods employed for Acanthamoeba keratitis diagnosis by culture.

Laura Muiño, Donoso Rodrigo, Rodrigo Villegas, Pablo Romero, Daniel E Peredo, Rafael A Vargas, Daniela Liempi, Antonio Osuna, María Isabel Jercic

Open access · greenAbstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in International ophthalmology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.6field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Review
  3. Epidemiology of and Genetic Factors Associated withPathogens (Basel, Switzerland) · 2024
    Review
  4. New Frontiers inBiology · 2023
    Review
  5. Diagnosis ofDiagnostics (Basel, Switzerland) · 2023
    Review
  6. Article
  7. Risk factors, management, and outcomes ofAmerican journal of ophthalmology case reports · 2022
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 2 countries.

Laura MuiñoFacultad de Ciencias de la Salud, Instituto de Ciencias Biomédicas, Universidad Autónoma de Chile, Santiago, Chile.ORCID http://orcid.org/0000-0002-6198-5304
Donoso RodrigoClínica Oftalmológica Pasteur, Santiago, Chile.
Rodrigo VillegasDepartamento de Asuntos Científicos, Instituto de Salud Pública de Chile, Santiago, Chile.
Pablo RomeroDepartamento de Oftalmología, Hospital Clínico José Joaquín Aguirre, Universidad de Chile, Santiago, Chile.
Daniel E PeredoUnidad de Trauma Ocular, Hospital El Salvador, Universidad de Chile, Santiago, Chile.
Rafael A VargasFundación Oftalmológica Los Andes, Santiago, Chile.
Daniela LiempiSección Parasitología, Departamento Laboratorio Biomédico, Instituto de Salud Pública de Chile, Av. Marathon 1000, CP 7780050, Ñuñoa, Santiago, Chile.
Antonio OsunaGrupo de Bioquímica y Parasitología Molecular, Departamento de Parasitología, Instituto de Biotecnología, Universidad de Granada, Campus Universitario Fuentenueva, 18071, Granada, Spain.
María Isabel JercicSección Parasitología, Departamento Laboratorio Biomédico, Instituto de Salud Pública de Chile, Av. Marathon 1000, CP 7780050, Ñuñoa, Santiago, Chile. majercic@ispch.cl.
Instituto de Salud Pública de Chile · CLUniversidad de Granada · ESFundación Chile · CLHospital Clínico de la Universidad de Chile · CLHospital del Salvador · CLUniversidad Autónoma de Chile · CLUniversity of Chile · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis retrospective, observational study was designed to evaluate the effectiveness of the sampling methods commonly used for the collection of corneal scrapes for the diagnosis of Acanthamoeba keratitis (AK) by culture, in terms of their ability to provide a positive result.

methodsA total of 553 samples from 380 patients with suspected AK received at the Parasitology Section of the Public Health Institute of Chile, between January 2005 and December 2015, were evaluated. A logistic regression model was used to determine the correlation between the culture outcome (positive or negative) and the method for sample collection. The year of sample collection was also included in the analysis as a confounding variable.

resultsThree hundred and sixty-five samples (27%) from 122 patients (32.1%) were positive by culture. The distribution of sample types was as follows: 142 corneal scrapes collected using a modified bezel needle (a novel method developed by a team of Chilean corneologists), 176 corneal scrapes obtained using a scalpel, 50 corneal biopsies, 30 corneal swabs, and 155 non-biological materials including contact lens and its paraphernalia. Biopsy provided the highest likelihood ratio for a positive result by culture (1.89), followed by non-biological materials (1.10) and corneal scrapes obtained using a modified needle (1.00). The lowest likelihood ratio was estimated for corneal scrapes obtained using a scalpel (0.88) and cotton swabs (0.78).

conclusionApart from biopsy, optimum corneal samples for the improved diagnosis of AK can be obtained using a modified bezel needle instead of a scalpel, while cotton swabs are not recommended.

Indexed as

AcanthamoebaAcanthamoeba KeratitisCorneaDNA, ProtozoanEye Infections, ParasiticFemaleHumansMaleMicroscopy, ConfocalPolymerase Chain ReactionRetrospective StudiesDNA, ProtozoanAcanthamoebaContact lensEye pathogensKeratitis diagnosis

Identifiers

PMID29916123
OpenAlexW2809626290

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.